Provider Demographics
NPI:1932483757
Name:PEREZ, LINDA LUANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LUANN
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 39TH ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-1127
Mailing Address - Country:US
Mailing Address - Phone:631-880-5550
Mailing Address - Fax:631-277-2314
Practice Address - Street 1:91 39TH ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-1127
Practice Address - Country:US
Practice Address - Phone:631-830-5550
Practice Address - Fax:631-277-2314
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256287-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health